1. Racial/Ethnic Differences in the Effectiveness of a Multisector Childhood Obesity Prevention Intervention
- Author
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Meghan E. Perkins, Jo-Ann Kwass, Candace C. Nelson, Rachel Colchamiro, Elsie M. Taveras, Peggy Leung-Strle, and Jennifer A. Woo Baidal
- Subjects
Program evaluation ,Gerontology ,Extramural ,business.industry ,Public Health, Environmental and Occupational Health ,Ethnic group ,Prevention intervention ,medicine.disease ,Childhood obesity ,Language differences ,03 medical and health sciences ,0302 clinical medicine ,Health promotion ,030225 pediatrics ,medicine ,030212 general & internal medicine ,Racial/ethnic difference ,business - Abstract
Objectives. To investigate racial/ethnic and language differences in the effectiveness of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study among children aged 2 to 4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods. We performed a multisector quasiexperimental study in 2 MA-CORD intervention communities and 1 comparison community. Using WIC data from 2010 to 2015, we examined intervention effect on child weight and behavior outcomes by child race/ethnicity and parental primary language using multilevel linear regression models with an interaction term. Results. Non-Hispanic Black children exposed to the intervention demonstrated a greater decrease in body mass index (BMI) than did other children (P Conclusions. White children demonstrated decreased BMI in both the intervention and control groups. However, intervention minority children demonstrated greater improvements in BMI than did control minority children. Public Health Implications. To reduce racial/ethnic disparities, we need to disseminate effective obesity prevention interventions during early childhood in low-income settings.
- Published
- 2018
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